Individual
JORGE LUIS GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 AVE LAUREL, BAYAMON, PR 00956-4816
(787) 798-3001
Mailing address
131 RIVERWALK, TRUJILLO ALTO, PR 00976-6214
(787) 504-5595
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
6833692
PR
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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